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General NPI Number Information
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NPI Number | 1407322142
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Entity Type | Individual
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Provider Name | ELLESSE MARIE OROZCO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2018
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 951 W YAMATO RD STE 160
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City | BOCA RATON
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State | FL
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Zip | 33431-4432
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Country | US
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Telephone | 800-350-3819
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 BROKEN SOUND PKWY NW STE 100
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City | BOCA RATON
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State | FL
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Zip | 33487-5708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS58322
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License Number State | FL
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